NAB Practice Questions And Correct Detailed
Answers Latest Update A+ Passed
All of the following are barriers regarding the recognition of chronic pain except for:
1. Cognitive impairment and communication barriers hinder a resident's ability to report pain or respond
to caregiver's questions regarding pain
2. Staff who are utilizing valid tools to screen for pain
3. Elderly may not show verbal or non-verbal symptoms of pain
4. Staff may not have knowledge of or be skilled in assessing pain - ANS ✔ - 2
The instrument the staff utilizes to screen for pain doesn't create any type of barrier for them to
determine if the resident is experiencing pain. All of the other are related to the ability of the resident to
express pain or the staff to evaluate the presence of pain.
Which of the following does not support resident center care concept?
1. Upon admission the resident indicates a preference to bathe at night; the facility policy requires all
baths to be given on the day shift
2. Breakfast is served from 630a-800a; the resident chooses to sleep until 900a so the nursing staff
makes sure cereal and milk are available at 900a
3. Upon admission the resident was allowed to bring his personal recliner to the facility to furnish his
room
4. Prior to living in the nursing facility the resident enjoyed fishing; the activity staff arrange for the
resident to attend the annual fishing rodeo located 30 miles from the facility - ANS ✔ - 1
Facilities are expected to provide a pleasant dining experience for all residents. This includes all except:
1. Providing well-lit, well ventilated dining room
2. Providing adequate space and seating accommodations
3. Maintaining a level of dignity when serving all residents
4. Serving residents without attempting to honor resident food preferences - ANS ✔ - 4
Which one of the following is not a correct policy for dietary services?
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,1. Receiving of food for facility use must be from approved sources
2. Storage of food brought in by staff must be stored separately from facility food
3. Facilities are required to provide a therapeutic diet, prescribed by the dietary consultant, when a
nutrition problem exists
4. A specific food temperature level is required at the time of serving - ANS ✔ - 3
One specified reason for a "significant change" comprehensive reassessment is an unplanned weight
loss of either ___% over 30 days or ___ over 180 days?
1. 5%, 7%
2. 7% 10%
3. 5%, 10%
4. 10%, 29% - ANS ✔ - 3
Which one of the following statements is true for the medical director?
1. May also serve as an attending physician
2. Must be a member of the facility's QA committee
3. Must be seen by the resident at least every 30 days after the initial required visits
4. Must personally approve each order for each individual to be admitted to the facility - ANS ✔ - 1
Which one of the following statements is true regarding a facility providing medically related social
services to the facility?
1. A facility must have a full-time qualified social worker on staff for each work shift except weekends
2. A facility's qualified social worker must have a BA degree in social work and one year of supervised
experience in a health care setting working with individuals
3. A facility must have one qualified social worker for each 75 residents
4. A facility's qualified social worker's bachelor's degree can be in a human services field or in another
degree with one year of supervised social work experience in a health care setting working directly with
individuals - ANS ✔ - 4
Nurse aids must have a minimum of ___ hours of in-service training annually?
1. 6
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,2. 10
3. 12
4. 16 - ANS ✔ - 3
Which one of the following statements is true?
1. Any employee may serve as a feeding assistant when the need desires
2. A family member must complete a state-approved training course for feeding assistants before
assisting with feeding his/her family member
3. Paid feeding assistants must successfully complete a state-approved training course
4. A family member is not allowed to feed his/her relative - ANS ✔ - 3
Which changes in the dietary department would most closely reflect the principles behind culture
change?
1. Providing set meal service times with little flexibility to maintain a daily routing for the residents
2. Liberalizing therapeutic diets to provide more food choices to residents
3. Increasing the number of pureed or soft diet orders to make feeding easier for the staff
4. Structuring meal times to the benefit of staff schedules - ANS ✔ - 2
Which one of the following is not a function of the activities director?
1. To ensure that the culture, functional ability, cognitive level, and background of the individuals
contribute to enhancing personal identity, self-esteem and dignity of the resident
2. Develops the restorative therapy program for each resident
3. He/she is a part of the comprehensive assessment team within the facility
4. May form small groups (clubs) to include resident of like interests - ANS ✔ - 2
If a resident refuses to consume all of a meal initially given to him/her the nursing staff should?
1. Do nothing; it is the resident's right to refuse meals
2. Document that the resident was being uncooperative for that particular meal
3. Offer a suitable meal replacement or nutrition supplement to provide adequate calories
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, 4. Force-feed the resident the meal as served - ANS ✔ - 3
Which of the following statements is correct regarding activities provided through the activities
department of a facility?
1. Spiritual activities are not permitted in a facility that receives federal funding
2. Manicures/pedicures, hair styling, and makeovers may be considered part of the activities program
3. Trips to casinos and other gaming type facilities, museums, fishing events, etc. Are not permitted
because of the liability for facilities
4. Most activities, which are scheduled by the activity director, should be of a physical nature in order to
help residents increase or maintain their mobility - ANS ✔ - 2. These activities are defined as acceptable
activities in the Survey Operations Manual - Tag F248
Which of the following statements is correct about naos-gastric tube feeding while in a facility?
1. An individual who needs to be fed may be given a naos-gastric tube to make eating easier for the
resident
2. The facility must ensure that the resident receives appropriate treatment to restore, if possible,
normal eating skills.
3. With the family's permission, the resident may be given a naos-gastric tube.
4. The initial assessment demonstrates that the resident's clinical condition indicates he/she can't eat by
himself/herself - ANS ✔ - 4. If the "comprehensive assessment" of a resident's clinical condition
demonstrates that use of a tube was unavoidable, the facility must ensure that the resident receives the
appropriate treatment to restore, if possible, normal eating skills.
According to federal certification standards, when a nourishing snack is provided at bedtime, up to
_____ may elapse between a substantial evening meal and breakfast the following day if a resident
group agrees to this meal plan.
1. 12 hours
2. 16 hours
3. 14 hours
4. 15 hours - ANS ✔ - 3
4|Page ©®
Answers Latest Update A+ Passed
All of the following are barriers regarding the recognition of chronic pain except for:
1. Cognitive impairment and communication barriers hinder a resident's ability to report pain or respond
to caregiver's questions regarding pain
2. Staff who are utilizing valid tools to screen for pain
3. Elderly may not show verbal or non-verbal symptoms of pain
4. Staff may not have knowledge of or be skilled in assessing pain - ANS ✔ - 2
The instrument the staff utilizes to screen for pain doesn't create any type of barrier for them to
determine if the resident is experiencing pain. All of the other are related to the ability of the resident to
express pain or the staff to evaluate the presence of pain.
Which of the following does not support resident center care concept?
1. Upon admission the resident indicates a preference to bathe at night; the facility policy requires all
baths to be given on the day shift
2. Breakfast is served from 630a-800a; the resident chooses to sleep until 900a so the nursing staff
makes sure cereal and milk are available at 900a
3. Upon admission the resident was allowed to bring his personal recliner to the facility to furnish his
room
4. Prior to living in the nursing facility the resident enjoyed fishing; the activity staff arrange for the
resident to attend the annual fishing rodeo located 30 miles from the facility - ANS ✔ - 1
Facilities are expected to provide a pleasant dining experience for all residents. This includes all except:
1. Providing well-lit, well ventilated dining room
2. Providing adequate space and seating accommodations
3. Maintaining a level of dignity when serving all residents
4. Serving residents without attempting to honor resident food preferences - ANS ✔ - 4
Which one of the following is not a correct policy for dietary services?
1|Page ©®
,1. Receiving of food for facility use must be from approved sources
2. Storage of food brought in by staff must be stored separately from facility food
3. Facilities are required to provide a therapeutic diet, prescribed by the dietary consultant, when a
nutrition problem exists
4. A specific food temperature level is required at the time of serving - ANS ✔ - 3
One specified reason for a "significant change" comprehensive reassessment is an unplanned weight
loss of either ___% over 30 days or ___ over 180 days?
1. 5%, 7%
2. 7% 10%
3. 5%, 10%
4. 10%, 29% - ANS ✔ - 3
Which one of the following statements is true for the medical director?
1. May also serve as an attending physician
2. Must be a member of the facility's QA committee
3. Must be seen by the resident at least every 30 days after the initial required visits
4. Must personally approve each order for each individual to be admitted to the facility - ANS ✔ - 1
Which one of the following statements is true regarding a facility providing medically related social
services to the facility?
1. A facility must have a full-time qualified social worker on staff for each work shift except weekends
2. A facility's qualified social worker must have a BA degree in social work and one year of supervised
experience in a health care setting working with individuals
3. A facility must have one qualified social worker for each 75 residents
4. A facility's qualified social worker's bachelor's degree can be in a human services field or in another
degree with one year of supervised social work experience in a health care setting working directly with
individuals - ANS ✔ - 4
Nurse aids must have a minimum of ___ hours of in-service training annually?
1. 6
2|Page ©®
,2. 10
3. 12
4. 16 - ANS ✔ - 3
Which one of the following statements is true?
1. Any employee may serve as a feeding assistant when the need desires
2. A family member must complete a state-approved training course for feeding assistants before
assisting with feeding his/her family member
3. Paid feeding assistants must successfully complete a state-approved training course
4. A family member is not allowed to feed his/her relative - ANS ✔ - 3
Which changes in the dietary department would most closely reflect the principles behind culture
change?
1. Providing set meal service times with little flexibility to maintain a daily routing for the residents
2. Liberalizing therapeutic diets to provide more food choices to residents
3. Increasing the number of pureed or soft diet orders to make feeding easier for the staff
4. Structuring meal times to the benefit of staff schedules - ANS ✔ - 2
Which one of the following is not a function of the activities director?
1. To ensure that the culture, functional ability, cognitive level, and background of the individuals
contribute to enhancing personal identity, self-esteem and dignity of the resident
2. Develops the restorative therapy program for each resident
3. He/she is a part of the comprehensive assessment team within the facility
4. May form small groups (clubs) to include resident of like interests - ANS ✔ - 2
If a resident refuses to consume all of a meal initially given to him/her the nursing staff should?
1. Do nothing; it is the resident's right to refuse meals
2. Document that the resident was being uncooperative for that particular meal
3. Offer a suitable meal replacement or nutrition supplement to provide adequate calories
3|Page ©®
, 4. Force-feed the resident the meal as served - ANS ✔ - 3
Which of the following statements is correct regarding activities provided through the activities
department of a facility?
1. Spiritual activities are not permitted in a facility that receives federal funding
2. Manicures/pedicures, hair styling, and makeovers may be considered part of the activities program
3. Trips to casinos and other gaming type facilities, museums, fishing events, etc. Are not permitted
because of the liability for facilities
4. Most activities, which are scheduled by the activity director, should be of a physical nature in order to
help residents increase or maintain their mobility - ANS ✔ - 2. These activities are defined as acceptable
activities in the Survey Operations Manual - Tag F248
Which of the following statements is correct about naos-gastric tube feeding while in a facility?
1. An individual who needs to be fed may be given a naos-gastric tube to make eating easier for the
resident
2. The facility must ensure that the resident receives appropriate treatment to restore, if possible,
normal eating skills.
3. With the family's permission, the resident may be given a naos-gastric tube.
4. The initial assessment demonstrates that the resident's clinical condition indicates he/she can't eat by
himself/herself - ANS ✔ - 4. If the "comprehensive assessment" of a resident's clinical condition
demonstrates that use of a tube was unavoidable, the facility must ensure that the resident receives the
appropriate treatment to restore, if possible, normal eating skills.
According to federal certification standards, when a nourishing snack is provided at bedtime, up to
_____ may elapse between a substantial evening meal and breakfast the following day if a resident
group agrees to this meal plan.
1. 12 hours
2. 16 hours
3. 14 hours
4. 15 hours - ANS ✔ - 3
4|Page ©®
